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Tubo-Ovarian Abscess
Maryam Rezvani, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Tubo-ovarian abscess (TOA)
            • Definitions

              • Infection of upper female genital tract including endometrium, fallopian tubes, and ovaries
              • Advanced acute pyogenic pelvic inflammatory disease (PID) resulting in destruction of normal structures with formation of an inflammatory mass encompassing both fallopian tube and ovary

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Greenstein Y et al: Tuboovarian abscess. Factors associated with operative intervention after failed antibiotic therapy. J Reprod Med. 58(3-4):101-6, 2013
                                    2. Eshed I et al: Differentiation between right tubo-ovarian abscess and appendicitis using CT--a diagnostic challenge. Clin Radiol. 66(11):1030-5, 2011
                                    3. Lee DC et al: Sensitivity of ultrasound for the diagnosis of tubo-ovarian abscess: a case report and literature review. J Emerg Med. 40(2):170-5, 2011
                                    4. Rezvani M et al: Fallopian tube disease in the nonpregnant patient. Radiographics. 31(2):527-48, 2011
                                    5. Kim MY et al: MR Imaging findings of hydrosalpinx: a comprehensive review. Radiographics. 29(2):495-507, 2009
                                    6. Jeong WK et al: Tubo-ovarian abscess: CT and pathological correlation. Clin Imaging. 31(6):414-8, 2007
                                    7. Uslu H et al: 99mTc-HMPAO labelled leucocyte scintigraphy in the diagnosis of pelvic inflammatory disease. Nucl Med Commun. 27(2):179-83, 2006
                                    8. Hiller N et al: Computed tomographic features of tuboovarian abscess. J Reprod Med. 50(3):203-8, 2005
                                    9. Kitamura Y et al: Imaging manifestations of complications associated with uterine artery embolization. Radiographics. 25 Suppl 1:S119-32, 2005
                                    10. Kim SH et al: Unusual causes of tubo-ovarian abscess: CT and MR imaging findings. Radiographics. 24(6):1575-89, 2004
                                    11. Harisinghani MG et al: Transgluteal approach for percutaneous drainage of deep pelvic abscesses: 154 cases. Radiology. 228(3):701-5, 2003
                                    12. Varras M et al: Tubo-ovarian abscesses: spectrum of sonographic findings with surgical and pathological correlations. Clin Exp Obstet Gynecol. 30(2-3):117-21, 2003
                                    13. Sam JW et al: Spectrum of CT findings in acute pyogenic pelvic inflammatory disease. Radiographics. 22(6):1327-34, 2002
                                    14. Bau A et al: Acute female pelvic pain: ultrasound evaluation. Semin Ultrasound CT MR. 21(1):78-93, 2000
                                    15. Tukeva TA et al: MR imaging in pelvic inflammatory disease: comparison with laparoscopy and US. Radiology. 210(1):209-16, 1999
                                    16. Ha HK et al: MR imaging of tubo-ovarian abscess. Acta Radiol. 36(5):510-4, 1995
                                    17. McCormack WM: Pelvic inflammatory disease. N Engl J Med. 330(2):115-9, 1994
                                    18. Wilbur AC et al: CT findings in tuboovarian abscess. AJR Am J Roentgenol. 158(3):575-9, 1992
                                    19. Lande IM et al: Adnexal and cul-de-sac abnormalities: transvaginal sonography. Radiology. 166(2):325-32, 1988
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Tubo-ovarian abscess (TOA)
                                              • Definitions

                                                • Infection of upper female genital tract including endometrium, fallopian tubes, and ovaries
                                                • Advanced acute pyogenic pelvic inflammatory disease (PID) resulting in destruction of normal structures with formation of an inflammatory mass encompassing both fallopian tube and ovary

                                              IMAGING

                                              • General Features

                                                • CT Findings

                                                  • MR Findings

                                                    • Ultrasonographic Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Greenstein Y et al: Tuboovarian abscess. Factors associated with operative intervention after failed antibiotic therapy. J Reprod Med. 58(3-4):101-6, 2013
                                                                      2. Eshed I et al: Differentiation between right tubo-ovarian abscess and appendicitis using CT--a diagnostic challenge. Clin Radiol. 66(11):1030-5, 2011
                                                                      3. Lee DC et al: Sensitivity of ultrasound for the diagnosis of tubo-ovarian abscess: a case report and literature review. J Emerg Med. 40(2):170-5, 2011
                                                                      4. Rezvani M et al: Fallopian tube disease in the nonpregnant patient. Radiographics. 31(2):527-48, 2011
                                                                      5. Kim MY et al: MR Imaging findings of hydrosalpinx: a comprehensive review. Radiographics. 29(2):495-507, 2009
                                                                      6. Jeong WK et al: Tubo-ovarian abscess: CT and pathological correlation. Clin Imaging. 31(6):414-8, 2007
                                                                      7. Uslu H et al: 99mTc-HMPAO labelled leucocyte scintigraphy in the diagnosis of pelvic inflammatory disease. Nucl Med Commun. 27(2):179-83, 2006
                                                                      8. Hiller N et al: Computed tomographic features of tuboovarian abscess. J Reprod Med. 50(3):203-8, 2005
                                                                      9. Kitamura Y et al: Imaging manifestations of complications associated with uterine artery embolization. Radiographics. 25 Suppl 1:S119-32, 2005
                                                                      10. Kim SH et al: Unusual causes of tubo-ovarian abscess: CT and MR imaging findings. Radiographics. 24(6):1575-89, 2004
                                                                      11. Harisinghani MG et al: Transgluteal approach for percutaneous drainage of deep pelvic abscesses: 154 cases. Radiology. 228(3):701-5, 2003
                                                                      12. Varras M et al: Tubo-ovarian abscesses: spectrum of sonographic findings with surgical and pathological correlations. Clin Exp Obstet Gynecol. 30(2-3):117-21, 2003
                                                                      13. Sam JW et al: Spectrum of CT findings in acute pyogenic pelvic inflammatory disease. Radiographics. 22(6):1327-34, 2002
                                                                      14. Bau A et al: Acute female pelvic pain: ultrasound evaluation. Semin Ultrasound CT MR. 21(1):78-93, 2000
                                                                      15. Tukeva TA et al: MR imaging in pelvic inflammatory disease: comparison with laparoscopy and US. Radiology. 210(1):209-16, 1999
                                                                      16. Ha HK et al: MR imaging of tubo-ovarian abscess. Acta Radiol. 36(5):510-4, 1995
                                                                      17. McCormack WM: Pelvic inflammatory disease. N Engl J Med. 330(2):115-9, 1994
                                                                      18. Wilbur AC et al: CT findings in tuboovarian abscess. AJR Am J Roentgenol. 158(3):575-9, 1992
                                                                      19. Lande IM et al: Adnexal and cul-de-sac abnormalities: transvaginal sonography. Radiology. 166(2):325-32, 1988